Healthcare Provider Details

I. General information

NPI: 1104744978
Provider Name (Legal Business Name): MAI ABURASHED
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6291 CAMBRIDGE WAY STE 200
PLAINFIELD IN
46168-7944
US

IV. Provider business mailing address

205 N MADDOX RD
OTTERBEIN IN
47970-8559
US

V. Phone/Fax

Practice location:
  • Phone: 317-718-8436
  • Fax:
Mailing address:
  • Phone: 765-806-1688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number34011194A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: